Southern Illinois Medical Services Nfp
Southern Illinois Medical Services Nfp faces severe financial instability with persistent multi-million dollar deficits and rapidly escalating liabilities.
EIN: 205521741 · Carbondale, IL · NTEE: E300 · Updated: 2026-03-28
Source Check Matrix
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Southern Illinois Medical Services Nfp is mapped to EIN 205521741.
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12 stored filing years available.
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| Metric | Value |
|---|---|
| Total Revenue | $83.9M |
| Total Expenses | $150.1M |
| Program Spending | 80% |
| CEO/Top Officer Pay | $80 |
| Net Assets | $-319,302,563 |
| Transparency Score | 35/100 |
Search Intent Cockpit
Southern Illinois Medical Services Nfp Form 990, Revenue, CEO Pay, and IRS Filing Signals
Southern Illinois Medical Services Nfp is surfaced here as a decision-ready nonprofit financial profile, not just a charity listing. The page consolidates IRS Form 990 revenue, expenses, assets, tax-exempt classification, executive compensation, mission score, red flags, and year-by-year filing history so donors, researchers, journalists, and grant teams can answer the common search questions around Southern Illinois Medical Services Nfp in one place.
Form 990 Filing Summary
12 filing years are available, with latest revenue of $96.2M and expenses of $150.1M.
Revenue and Expenses
Southern Illinois Medical Services Nfp reported $96.2M in revenue and $150.1M in expenses, a deficit of $53.9M.
Executive Compensation
Top officer compensation appears as $80 in the stored analysis, with context against revenue and expenses below.
Charity Score and Red Flags
35/100 mission score, 4 red flags, and 1 strength are shown from structured and AI review.
Is Southern Illinois Medical Services Nfp Legit?
Significant Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
IRS 990 Data Cockpit
Where the Money Comes From and Where It Goes
Revenue Source Mix
Revenue-source line items are not available on the stored filing yet. Future ingestion now preserves contribution, program-revenue, and investment-income fields when ProPublica provides them.
Expense Deployment
| Program services | $120.1M (80%) |
Across stored filings, Southern Illinois Medical Services Nfp shows contribution history pending. Next enrichment targets: revenue-source fields, IRS BMF classification.
Decision Cockpit
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| Decision Lens | Signal | What to Inspect Next |
|---|---|---|
| Legitimacy | Significant Concerns | Good filing record; 4 red flags identified |
| Mission spend | 80% to programs | Excellent |
| Financial durability | Grade C | 12 stored filing years |
| Peer context | Compare with Shorefront | Illinois and Health context |
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Southern Illinois Medical Services Nfp directs 80% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.
About Southern Illinois Medical Services Nfp
Southern Illinois Medical Services Nfp (EIN: 205521741) is a nonprofit organization based in Carbondale, IL, classified under NTEE code E300. The organization reported total revenue of $83.9M and total assets of $53.3M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Southern Illinois Medical Services Nfp's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
Southern Illinois Medical Services Nfp is a major nonprofit that has been operating for 19 years, with 12 years of IRS 990 filings on record (2012–2023). Revenue has grown at a compound annual rate of 9.7%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $96.2M |
| Total Expenses | $150.1M |
| Surplus / Deficit | $-53,885,232 |
| Total Assets | $46.8M |
| Total Liabilities | $366.1M |
| Net Assets | $-319,302,563 |
| Operating Margin | -56.0% |
| Debt-to-Asset Ratio | 782.5% |
| Months of Reserves | 3.7 months |
Financial Health Grade: C
In 2023, Southern Illinois Medical Services Nfp reported a deficit of $53.9M with expenses exceeding revenue, holds 3.7 months of operating reserves (adequate), has a debt-to-asset ratio of 782.5% (high leverage).
Financial Trends
Over 12 years of filings (2012–2023), Southern Illinois Medical Services Nfp's revenue has grown at a compound annual growth rate (CAGR) of 9.7%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | -5.0% | -1.8% | -14.7% |
| 2022 | +16.9% | +13.7% | +-0.0% |
| 2021 | -4.0% | -5.8% | -5.6% |
| 2020 | -0.1% | +6.4% | -6.2% |
| 2019 | +12.3% | +12.1% | -0.4% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1000 |
| IRS Ruling Date | 2007 |
Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.
AI Transparency Report
Mission Effectiveness Score
NonprofitSpending's AI analysis rates Southern Illinois Medical Services Nfp with a Mission Score of 35 out of 100 (Poor). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Spending Breakdown
- admin: 15%
- programs: 80%
- fundraising: 5%
According to IRS 990 filings, Southern Illinois Medical Services Nfp allocates its expenses as follows: admin: 15%, programs: 80%, fundraising: 5%. With 80% directed toward programs, this reflects a strong commitment to its charitable mission.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a deficit of $53.9M, with expenses exceeding revenue.
- Debt-to-asset ratio: 782.5%.
Executive Compensation Analysis
The IRS 990 filings consistently report 0% officer compensation, which is unusual for an organization of this size with revenues exceeding $80 million annually. This could indicate that executive compensation is either not paid, or it is reported under other expense categories, which would obscure a key aspect of financial transparency.
Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.
Red Flags
The following concerns were identified during AI analysis of Southern Illinois Medical Services Nfp's IRS 990 filings:
- Consistent and significant operational deficits (e.g., $53M in 2023).
- Rapidly escalating liabilities, far exceeding total assets ($366M liabilities vs. $46M assets in 2023).
- Lack of reported officer compensation for a large organization.
- Declining asset base in recent years while liabilities surge.
Strengths
The following positive indicators were identified for Southern Illinois Medical Services Nfp:
- Long operating history (12 filings available).
Frequently Asked Questions about Southern Illinois Medical Services Nfp
Is Southern Illinois Medical Services Nfp a legitimate charity?
Southern Illinois Medical Services Nfp (EIN: 205521741) is a registered tax-exempt nonprofit based in Illinois. Our AI analysis gives it a Mission Score of 35/100. It has 12 years of IRS 990 filings on record. Total revenue: $83.9M. 4 red flags identified. 1 strength noted. Financial health grade: C.
How does Southern Illinois Medical Services Nfp spend its money?
Southern Illinois Medical Services Nfp directs 80% of its spending to programs and services. Fundraising costs 5%. This exceeds the 65% industry benchmark.
Are donations to Southern Illinois Medical Services Nfp tax-deductible?
Southern Illinois Medical Services Nfp is registered as a tax-exempt nonprofit (EIN: 205521741). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
How much does the Southern Illinois Medical Services Nfp CEO make?
Southern Illinois Medical Services Nfp's highest-compensated officer earns $80 annually. The organization reported $83.9M in total revenue. Executive compensation data is disclosed in IRS 990 filings.
What percentage of Southern Illinois Medical Services Nfp's spending goes to programs?
Southern Illinois Medical Services Nfp directs 80% to programs, 5% to fundraising. This exceeds the 65% industry benchmark for efficient nonprofits.
How does Southern Illinois Medical Services Nfp compare to similar nonprofits?
With a transparency score of 35/100 (Poor), Southern Illinois Medical Services Nfp is below average for NTEE category E300 nonprofits. The score reflects financial transparency, program spending efficiency, and governance quality based on IRS 990 data.
Where is Southern Illinois Medical Services Nfp located?
Southern Illinois Medical Services Nfp is headquartered in Carbondale, Illinois and files with the IRS under EIN 205521741. It is classified under NTEE code E300.
How many years of IRS 990 filings does Southern Illinois Medical Services Nfp have?
Southern Illinois Medical Services Nfp has 12 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $83.9M in total revenue.
How does Southern Illinois Medical Services Nfp plan to address its persistent and growing financial deficits?
The organization has consistently spent significantly more than it earns, with expenses exceeding revenue by over $53 million in 2023 alone. This trend is unsustainable and requires a clear strategy for financial recovery.
What is the detailed breakdown of program, administrative, and fundraising expenses?
Without a detailed breakdown, it's challenging to fully assess spending efficiency. The provided data only shows total revenue and expenses, not how those expenses are allocated across different functions.
Why is officer compensation consistently reported as 0% across all filings?
For an organization with annual revenues in the tens of millions, the absence of reported officer compensation is highly unusual and warrants clarification to ensure full transparency regarding leadership costs.
What is the plan to manage the rapidly increasing liabilities, which reached $366,086,454 in 2023?
The organization's liabilities have grown dramatically, far exceeding its assets. This level of debt poses a significant risk to its long-term viability and ability to deliver on its mission.
Filing History
IRS 990 filing history for Southern Illinois Medical Services Nfp showing financial trends over 12 years of public records:
Over 12 years of IRS 990 filings (2012–2023), Southern Illinois Medical Services Nfp's revenue has grown by 177.9%, moving from $34.6M to $96.2M. Total assets increased by 37.1% over the same period, from $34.1M to $46.8M. Total functional expenses rose by 296.7%, from $37.8M to $150.1M. In its most recent filing year (2023), Southern Illinois Medical Services Nfp reported a deficit of $53.9M, with expenses exceeding revenue. The organization holds $366.1M in liabilities against $46.8M in assets (debt-to-asset ratio: 782.5%), resulting in net assets of $-319,302,563.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $96.2M | $150.1M | $46.8M | $366.1M | — | View 990 |
| 2022 | $101.2M | $152.8M | $54.8M | $322.3M | — | View 990 |
| 2021 | $86.6M | $134.4M | $54.9M | $271.7M | — | View 990 |
| 2020 | $90.2M | $142.6M | $58.1M | $229.6M | — | View 990 |
| 2019 | $90.3M | $134.0M | $61.9M | $183.2M | — | View 990 |
| 2018 | $80.4M | $119.5M | $62.1M | $141.6M | — | View 990 |
| 2017 | $74.1M | $107.2M | $62.3M | $104.8M | — | View 990 |
| 2016 | $73.9M | $89.7M | $56.6M | $67.6M | — | View 990 |
| 2015 | $71.4M | $82.6M | $53.6M | $50.7M | — | View 990 |
| 2014 | $55.9M | $64.4M | $49.9M | $37.5M | — | View 990 |
| 2013 | $53.5M | $57.4M | $38.8M | $19.5M | — | View 990 |
| 2012 | $34.6M | $37.8M | $34.1M | $12.4M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $96.2M, expenses of $150.1M, and assets of $46.8M (revenue -5.0% year-over-year).
- 2022: Revenue of $101.2M, expenses of $152.8M, and assets of $54.8M (revenue +16.9% year-over-year).
- 2021: Revenue of $86.6M, expenses of $134.4M, and assets of $54.9M (revenue -4.0% year-over-year).
- 2020: Revenue of $90.2M, expenses of $142.6M, and assets of $58.1M (revenue -0.1% year-over-year).
- 2019: Revenue of $90.3M, expenses of $134.0M, and assets of $61.9M (revenue +12.3% year-over-year).
- 2018: Revenue of $80.4M, expenses of $119.5M, and assets of $62.1M (revenue +8.4% year-over-year).
- 2017: Revenue of $74.1M, expenses of $107.2M, and assets of $62.3M (revenue +0.3% year-over-year).
- 2016: Revenue of $73.9M, expenses of $89.7M, and assets of $56.6M (revenue +3.5% year-over-year).
- 2015: Revenue of $71.4M, expenses of $82.6M, and assets of $53.6M (revenue +27.7% year-over-year).
- 2014: Revenue of $55.9M, expenses of $64.4M, and assets of $49.9M (revenue +4.6% year-over-year).
- 2013: Revenue of $53.5M, expenses of $57.4M, and assets of $38.8M (revenue +54.5% year-over-year).
- 2012: Revenue of $34.6M, expenses of $37.8M, and assets of $34.1M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for Southern Illinois Medical Services Nfp:
Data Sources and Methodology
This transparency report for Southern Illinois Medical Services Nfp is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.
IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.
Disclaimer
AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.